KYANA WALLACE

NEW YORK, NY
NPI1558611483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  051928-1)
Enumeration Date2012-09-18
Last Update Date2012-09-20
Business Address
Ms. KYANA WALLACE PA-C
75 BROAD ST
NEW YORK, NY 10004-2415
Phone number: 877-456-0369
Mailing Address
Ms. KYANA WALLACE PA-C
20 COOLIDGE PL
FREEPORT, NY 11520-2543
Phone number: 516-477-8973
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